1 00:00:00,080 --> 00:00:02,639 Welcome to the Becker's Healthcare Podcast. I'm Chris 2 00:00:02,639 --> 00:00:04,559 Sosa, the copy chief here at Becker's, and 3 00:00:04,559 --> 00:00:06,339 I'm thrilled to be joined by David Bickerstaff, 4 00:00:06,559 --> 00:00:08,740 president of Riley Children's Health in Indianapolis. 5 00:00:09,279 --> 00:00:11,059 David, thank you for joining us today. 6 00:00:11,359 --> 00:00:12,960 Thank you, Chris. Thank you for having me, 7 00:00:12,960 --> 00:00:14,535 and I'm excited to be here with you. 8 00:00:14,855 --> 00:00:17,574 A pleasure, certainly. David, would you please introduce 9 00:00:17,574 --> 00:00:19,574 yourself and let our audience who might not 10 00:00:19,574 --> 00:00:21,254 be familiar with your work, let them know 11 00:00:21,254 --> 00:00:23,114 a little bit more about your background, please? 12 00:00:23,494 --> 00:00:25,894 Yeah. Happy to. So I'm David Biggerstaff. As 13 00:00:25,894 --> 00:00:27,894 you mentioned, I serve as the president of 14 00:00:27,894 --> 00:00:29,994 Riley Children's Health here as 15 00:00:30,500 --> 00:00:32,920 part of IU Health. I'm based in Indianapolis. 16 00:00:34,100 --> 00:00:36,740 I have been, now with Riley Children's. This 17 00:00:36,740 --> 00:00:38,659 is week seven. And so I'm very much 18 00:00:38,659 --> 00:00:39,560 in the orientation, 19 00:00:40,179 --> 00:00:42,739 stages of this role and, couldn't be more 20 00:00:42,739 --> 00:00:44,659 excited to be here. It's been, just such 21 00:00:44,659 --> 00:00:47,894 a a great interview and onboarding process. And, 22 00:00:48,195 --> 00:00:50,614 I'm really excited to have joined this organization 23 00:00:50,835 --> 00:00:52,914 and just, you know, to learn more about 24 00:00:52,914 --> 00:00:54,835 the, the foundation, what makes this such a 25 00:00:54,835 --> 00:00:55,574 great organization. 26 00:00:56,594 --> 00:00:57,814 Just by way of background, 27 00:00:58,434 --> 00:00:59,909 I have a little bit of a unique 28 00:01:00,229 --> 00:01:03,270 background in that, I actually studied accounting, 29 00:01:03,670 --> 00:01:05,450 as of my undergraduate degree 30 00:01:06,150 --> 00:01:08,310 and quickly realized that I didn't want to 31 00:01:08,310 --> 00:01:10,150 go into accounting, and I actually went into 32 00:01:10,150 --> 00:01:12,469 IT. And so, this was back in the 33 00:01:12,469 --> 00:01:15,109 mid nineties when electronic medical records were just 34 00:01:15,109 --> 00:01:15,849 being developed. 35 00:01:16,575 --> 00:01:19,234 And so I got interested in information technology, 36 00:01:19,454 --> 00:01:21,954 spent a number of years in the, EMR 37 00:01:22,015 --> 00:01:22,515 field, 38 00:01:23,135 --> 00:01:26,575 developing electronic medical records and decision support systems 39 00:01:26,575 --> 00:01:28,435 and evidence based medicine systems. 40 00:01:29,569 --> 00:01:30,069 And, 41 00:01:30,370 --> 00:01:32,609 ultimately though ended up taking a little bit 42 00:01:32,609 --> 00:01:34,390 of a detour and ended up in operations 43 00:01:34,530 --> 00:01:35,909 and had a chance to, 44 00:01:36,609 --> 00:01:38,609 run a set of ORs, to open a 45 00:01:38,609 --> 00:01:39,750 new children's hospital, 46 00:01:40,049 --> 00:01:42,130 and over the course of the last, fifteen 47 00:01:42,130 --> 00:01:43,409 or so years have been in a couple 48 00:01:43,409 --> 00:01:46,560 of children's hospitals across the country. And, through 49 00:01:46,560 --> 00:01:49,319 all of that, have just been really privileged 50 00:01:49,319 --> 00:01:52,079 to be able to work with just some 51 00:01:52,079 --> 00:01:55,875 outstanding, clinicians, researchers, teams that just do outstanding 52 00:01:55,875 --> 00:01:58,770 work in pediatric health care. And so, being 53 00:01:58,770 --> 00:02:01,250 here at Riley, feels very at home, being 54 00:02:01,250 --> 00:02:03,829 in a children's hospital and in an academic 55 00:02:03,969 --> 00:02:04,469 center, 56 00:02:05,090 --> 00:02:06,469 that does such great work. 57 00:02:06,849 --> 00:02:10,069 And importantly, our children's hospitals across the country, 58 00:02:10,905 --> 00:02:13,224 are the voice of children's health and the 59 00:02:13,224 --> 00:02:15,224 advocates for children's health. And so it's great 60 00:02:15,224 --> 00:02:15,805 to be, 61 00:02:16,264 --> 00:02:17,564 in one of those organizations 62 00:02:17,865 --> 00:02:19,865 that, that is the the voice of children's 63 00:02:19,865 --> 00:02:21,085 health across the country. 64 00:02:22,185 --> 00:02:24,409 David, just looking into your background a little 65 00:02:24,409 --> 00:02:26,889 bit there. Certainly, accounting is, as you mentioned, 66 00:02:26,889 --> 00:02:28,969 is not really a traditional path to where 67 00:02:28,969 --> 00:02:31,049 you are now. Was there a moment or 68 00:02:31,049 --> 00:02:32,729 or series of moments kind of that led 69 00:02:32,729 --> 00:02:33,389 you to, 70 00:02:33,769 --> 00:02:35,949 want to lead a children's health care organization? 71 00:02:37,044 --> 00:02:38,805 Yeah. I think, you know, if I if 72 00:02:38,805 --> 00:02:40,724 I went back through my career and and 73 00:02:40,724 --> 00:02:42,645 certainly when I started out in, you know, 74 00:02:42,645 --> 00:02:44,264 studying accounting and then, 75 00:02:44,805 --> 00:02:47,044 I actually got interested in health care as 76 00:02:47,044 --> 00:02:48,344 a result of the presidential 77 00:02:48,724 --> 00:02:51,150 elections of nineteen ninety two. And and for 78 00:02:51,150 --> 00:02:53,009 our listeners who remember those elections, 79 00:02:54,030 --> 00:02:56,590 that was or that election, that was, health 80 00:02:56,590 --> 00:02:58,669 care reform was the major topic. And so 81 00:02:58,669 --> 00:03:00,689 how we were gonna solve the affordability 82 00:03:01,069 --> 00:03:03,169 issue in health care was the primary topic. 83 00:03:03,574 --> 00:03:05,495 And so I got interested in health care 84 00:03:05,495 --> 00:03:07,834 really as a result of the public policy 85 00:03:07,894 --> 00:03:10,155 debate. And that's what led me to, 86 00:03:10,694 --> 00:03:12,775 a hospital in Oklahoma City where I I 87 00:03:12,775 --> 00:03:14,854 started out in the IT department and and 88 00:03:14,854 --> 00:03:16,215 really just a way to to get a 89 00:03:16,215 --> 00:03:16,955 sense of, 90 00:03:17,500 --> 00:03:19,180 you know, what health care was about and 91 00:03:19,180 --> 00:03:20,700 whether or not this was an industry that 92 00:03:20,700 --> 00:03:22,000 I would want to go into. 93 00:03:22,780 --> 00:03:24,480 Quickly fell in love with the industry. 94 00:03:24,939 --> 00:03:26,540 It would be a number of years before 95 00:03:26,540 --> 00:03:28,879 I got exposure to a children's hospital 96 00:03:29,455 --> 00:03:32,094 and had the opportunity to step exclusively into 97 00:03:32,094 --> 00:03:32,594 pediatrics. 98 00:03:33,455 --> 00:03:34,914 But once I took that step, 99 00:03:35,294 --> 00:03:36,834 really pediatrics was, 100 00:03:37,294 --> 00:03:39,775 just a a true love, the work that 101 00:03:39,775 --> 00:03:42,060 our children's hospitals do across the country. 102 00:03:42,360 --> 00:03:44,459 And again, the breadth and depth of research, 103 00:03:44,519 --> 00:03:46,519 the innovations that come out of our academic 104 00:03:46,519 --> 00:03:47,019 centers, 105 00:03:47,959 --> 00:03:50,840 really drew me into that environment and has 106 00:03:50,840 --> 00:03:52,680 been a love ever since. And so I 107 00:03:52,680 --> 00:03:55,159 would say it wasn't necessarily by design, but 108 00:03:55,159 --> 00:03:57,194 it was something that, once I got here, 109 00:03:57,194 --> 00:03:59,275 I knew I wanted to stay in, not 110 00:03:59,275 --> 00:04:00,474 only in health care, but, 111 00:04:00,794 --> 00:04:02,254 more specifically in pediatrics. 112 00:04:03,034 --> 00:04:05,194 Well, it sounds serendipitous to be sure. No 113 00:04:05,194 --> 00:04:07,435 doubt, Raleigh Children's is happy to have you. 114 00:04:07,594 --> 00:04:09,834 You mentioned you're only in week seven. So 115 00:04:09,834 --> 00:04:12,509 clearly, they're you're settling in, but, obviously, you 116 00:04:12,509 --> 00:04:13,810 know, easier to move forward. 117 00:04:14,349 --> 00:04:16,589 Looking at our my second question for you, 118 00:04:16,589 --> 00:04:18,430 David, is what are your top priorities today? 119 00:04:18,430 --> 00:04:19,789 I know there's a lot out there, but 120 00:04:19,789 --> 00:04:21,229 could you, narrow it down just a little 121 00:04:21,229 --> 00:04:21,729 bit? 122 00:04:22,910 --> 00:04:25,229 Yeah. Thanks. And I I think there's there's 123 00:04:25,229 --> 00:04:26,850 two or three things that I would highlight. 124 00:04:27,245 --> 00:04:29,345 And one, first and foremost, is, 125 00:04:30,044 --> 00:04:32,365 building on the successes of Riley. And and 126 00:04:32,365 --> 00:04:34,604 I say that from the standpoint of having 127 00:04:34,604 --> 00:04:36,925 had the opportunity to go through the interview 128 00:04:36,925 --> 00:04:38,865 and kind of that preboarding process, 129 00:04:39,740 --> 00:04:42,300 has really been impressive to me and impressive 130 00:04:42,300 --> 00:04:44,459 from the standpoint of there is so much 131 00:04:44,459 --> 00:04:46,560 more to Riley than meets the eye. 132 00:04:47,019 --> 00:04:49,100 As I've had the opportunity to dig into 133 00:04:49,100 --> 00:04:50,399 the strength of our programs, 134 00:04:51,514 --> 00:04:52,814 we have several programs, 135 00:04:53,274 --> 00:04:54,875 here that are in the top 10 in 136 00:04:54,875 --> 00:04:56,175 terms of clinical outcomes, 137 00:04:56,555 --> 00:04:57,534 across the country. 138 00:04:57,995 --> 00:04:59,854 We have a fourth that is number 11. 139 00:05:00,394 --> 00:05:02,394 We have a research program that the breadth 140 00:05:02,394 --> 00:05:04,930 and depth is incredibly impressive. But when you 141 00:05:04,930 --> 00:05:06,709 look at the NIH funding, 142 00:05:07,329 --> 00:05:10,129 our partnership with the IU School of Medicine 143 00:05:10,129 --> 00:05:11,110 Department of Pediatrics, 144 00:05:11,569 --> 00:05:14,050 that department is sixth in the country in 145 00:05:14,050 --> 00:05:15,509 terms of NIH funding. 146 00:05:15,889 --> 00:05:17,564 And so there are a number of things, 147 00:05:17,805 --> 00:05:19,985 here that really made Riley an attractive 148 00:05:20,365 --> 00:05:23,564 organization for me, but importantly then provide some 149 00:05:23,564 --> 00:05:25,165 guidance for me in terms of what are 150 00:05:25,165 --> 00:05:27,264 the priorities. And one of those priorities, 151 00:05:28,045 --> 00:05:30,305 is to really understand our strengths 152 00:05:30,660 --> 00:05:32,900 and develop strategies to build on those strengths. 153 00:05:32,900 --> 00:05:35,779 And certainly, first and foremost of those will 154 00:05:35,779 --> 00:05:36,680 be to continue, 155 00:05:37,540 --> 00:05:39,400 to invest in the academic mission, 156 00:05:39,779 --> 00:05:41,540 in terms of our research and teaching and 157 00:05:41,540 --> 00:05:43,480 make sure that we can continue to build 158 00:05:43,699 --> 00:05:45,699 on that incredible foundation that we have in 159 00:05:45,699 --> 00:05:46,199 place. 160 00:05:46,774 --> 00:05:48,214 The other couple of things that I would 161 00:05:48,214 --> 00:05:51,595 offer is, one is building the leadership practices 162 00:05:51,814 --> 00:05:52,634 that enable, 163 00:05:53,415 --> 00:05:56,615 our organization to navigate change. And so as 164 00:05:56,615 --> 00:05:57,514 we look forward, 165 00:05:57,975 --> 00:05:59,975 we have a number of major initiatives on 166 00:05:59,975 --> 00:06:00,769 the horizon, 167 00:06:01,169 --> 00:06:02,069 ranging from, 168 00:06:02,689 --> 00:06:04,949 implementing a new electronic medical record, 169 00:06:05,490 --> 00:06:07,729 to developing a statewide network to make sure 170 00:06:07,729 --> 00:06:09,810 that we can serve all children across the 171 00:06:09,810 --> 00:06:10,709 state of Indiana. 172 00:06:11,169 --> 00:06:13,569 And so, that's gonna require our leadership team 173 00:06:13,569 --> 00:06:15,269 to think differently in terms of, 174 00:06:15,774 --> 00:06:17,555 how we partner across the state, 175 00:06:18,014 --> 00:06:20,334 how we integrate with the broader IU Health 176 00:06:20,334 --> 00:06:20,834 system, 177 00:06:21,535 --> 00:06:23,535 and importantly, how we enable our leaders, 178 00:06:23,855 --> 00:06:26,514 to navigate that pace of change, more adeptly 179 00:06:26,574 --> 00:06:27,555 as we go forward. 180 00:06:28,149 --> 00:06:29,430 And then the final thing that I would 181 00:06:29,430 --> 00:06:31,029 say is is kind of a priority for 182 00:06:31,029 --> 00:06:33,269 me is really how we develop a shared 183 00:06:33,269 --> 00:06:35,610 vision across all stakeholders. And, 184 00:06:36,149 --> 00:06:37,990 I've I've been asked the question many times 185 00:06:37,990 --> 00:06:39,829 as to what is my vision for Riley 186 00:06:39,829 --> 00:06:40,605 Children's Health. 187 00:06:41,324 --> 00:06:43,504 And while I certainly have goals and aspirations 188 00:06:43,725 --> 00:06:44,944 for what our organization 189 00:06:45,324 --> 00:06:46,384 should and could do, 190 00:06:46,845 --> 00:06:48,925 I think the the establishment of a vision 191 00:06:48,925 --> 00:06:49,904 for an organization 192 00:06:50,285 --> 00:06:52,785 as essential as Riley is in the state, 193 00:06:53,404 --> 00:06:56,045 really has to come from numerous stakeholders. And 194 00:06:56,045 --> 00:06:56,545 so, 195 00:06:57,139 --> 00:06:59,240 how we develop good listening sessions, 196 00:06:59,860 --> 00:07:01,319 with our physician colleagues, 197 00:07:01,699 --> 00:07:03,800 with the broader community to define 198 00:07:04,180 --> 00:07:04,839 that vision, 199 00:07:05,539 --> 00:07:07,860 is really among my top priorities. And I 200 00:07:07,860 --> 00:07:09,779 think that's such an important part of an 201 00:07:09,779 --> 00:07:12,039 organization like Riley Children's Health, 202 00:07:12,419 --> 00:07:14,555 in terms of our role in child health 203 00:07:14,555 --> 00:07:16,794 across the state. And so, so those would 204 00:07:16,794 --> 00:07:18,495 be two or three things that are certainly 205 00:07:18,555 --> 00:07:20,634 on my radar as I've, you know, started 206 00:07:20,634 --> 00:07:22,014 through this onboarding process. 207 00:07:23,595 --> 00:07:25,899 David, looking at the next eighteen months or 208 00:07:25,899 --> 00:07:27,579 so, I mean, I'm certain that a lot 209 00:07:27,579 --> 00:07:29,899 of what you just spoke about is going 210 00:07:29,899 --> 00:07:32,220 to to come up pretty much every day. 211 00:07:32,459 --> 00:07:34,379 There's no doubt about that. But as you 212 00:07:34,379 --> 00:07:35,120 look forward 213 00:07:35,740 --> 00:07:37,339 in your little crystal ball as far as 214 00:07:37,339 --> 00:07:39,339 the health care industry concerned and your job 215 00:07:39,339 --> 00:07:40,000 in particular, 216 00:07:40,675 --> 00:07:42,115 how do you see your role evolving in 217 00:07:42,115 --> 00:07:43,415 that of the role of your teams? 218 00:07:44,274 --> 00:07:46,354 Yeah. I I think there's really two things. 219 00:07:46,354 --> 00:07:48,194 And, you know, one of these won't be 220 00:07:48,194 --> 00:07:50,754 new, and that is, but it is probably 221 00:07:50,754 --> 00:07:51,495 more urgent, 222 00:07:51,875 --> 00:07:53,014 or important today. 223 00:07:53,714 --> 00:07:55,680 And that that is how we equip our 224 00:07:55,680 --> 00:07:58,960 leaders to manage change. And if if you 225 00:07:58,960 --> 00:08:00,720 look at where we are as an industry 226 00:08:00,720 --> 00:08:01,460 right now, 227 00:08:01,920 --> 00:08:03,460 you kinda have these two competing, 228 00:08:03,920 --> 00:08:06,340 narratives, if you will. On the one hand, 229 00:08:06,879 --> 00:08:09,600 we as an industry have been, harmed by 230 00:08:09,600 --> 00:08:11,365 a pandemic. And when you look 231 00:08:12,064 --> 00:08:12,644 at workforce 232 00:08:13,024 --> 00:08:13,524 shortages 233 00:08:14,144 --> 00:08:15,044 that were forecast 234 00:08:15,425 --> 00:08:15,925 for 235 00:08:16,305 --> 00:08:17,925 many years before the pandemic, 236 00:08:18,384 --> 00:08:20,464 but were certainly compounded as a result of 237 00:08:20,464 --> 00:08:21,125 the pandemic. 238 00:08:21,985 --> 00:08:24,209 You look at the number of roles that 239 00:08:24,370 --> 00:08:27,089 have transitioned to remote work, we continue to 240 00:08:27,089 --> 00:08:29,269 struggle with supply and medication shortages. 241 00:08:29,970 --> 00:08:31,729 And so on the one hand, there's this 242 00:08:31,729 --> 00:08:34,389 desire to just have stability in the industry 243 00:08:34,529 --> 00:08:36,284 and how do we return to, 244 00:08:36,924 --> 00:08:39,504 some level of of consistency in the industry. 245 00:08:39,964 --> 00:08:40,924 And yet, on the other hand, 246 00:08:42,125 --> 00:08:44,704 we're at a point with, for example, artificial 247 00:08:44,764 --> 00:08:45,904 intelligence where, 248 00:08:46,284 --> 00:08:48,629 there's this enthusiasm to go do new things 249 00:08:48,870 --> 00:08:51,429 and to go advance that agenda and and 250 00:08:51,429 --> 00:08:53,110 figure out what the next iteration of health 251 00:08:53,110 --> 00:08:54,950 care is gonna look like. And so I 252 00:08:54,950 --> 00:08:56,389 think for me, one of the key things 253 00:08:56,389 --> 00:08:58,470 for our leadership team here at Riley Children's 254 00:08:58,470 --> 00:09:01,285 Health is equipping our leaders to really build 255 00:09:01,285 --> 00:09:02,825 processes and practices, 256 00:09:03,524 --> 00:09:06,804 to manage change, to engage our frontline team 257 00:09:06,804 --> 00:09:09,125 members in that process and really make sure 258 00:09:09,125 --> 00:09:11,684 everybody stays well informed and in sync as 259 00:09:11,684 --> 00:09:13,865 to the initiatives that we pursue. And so 260 00:09:14,220 --> 00:09:15,899 we're at a very interesting time in health 261 00:09:15,899 --> 00:09:16,399 care, 262 00:09:16,940 --> 00:09:19,820 again, in balancing this desire for stability and 263 00:09:19,820 --> 00:09:21,360 and a little bit of just normalcy, 264 00:09:21,740 --> 00:09:23,989 and yet this desire to also advance change 265 00:09:23,989 --> 00:09:24,064 and and make improvements in the system. And 266 00:09:24,064 --> 00:09:24,139 so we have to balance those two things 267 00:09:24,139 --> 00:09:24,539 carefully. 268 00:09:28,834 --> 00:09:30,634 The other thing that I would offer that 269 00:09:30,634 --> 00:09:33,195 is unique about Riley is we are part 270 00:09:33,195 --> 00:09:35,115 of IU Health, and and we have this 271 00:09:35,115 --> 00:09:35,934 very large, 272 00:09:36,634 --> 00:09:39,134 health care ecosystem across the state of Indiana. 273 00:09:39,914 --> 00:09:41,774 And for our Riley Health leaders, 274 00:09:42,149 --> 00:09:43,909 really it becomes the question of how do 275 00:09:43,909 --> 00:09:46,470 we develop more systems thinking and how do 276 00:09:46,470 --> 00:09:48,009 we make sure that we are 277 00:09:48,389 --> 00:09:50,149 part of this broader system in terms of 278 00:09:50,149 --> 00:09:52,470 how we can deliver pediatric care across the 279 00:09:52,470 --> 00:09:52,970 state, 280 00:09:53,589 --> 00:09:55,975 with our adult counterparts and and what that 281 00:09:55,975 --> 00:09:58,134 might look like in terms of continuity of 282 00:09:58,134 --> 00:09:58,634 care, 283 00:09:59,254 --> 00:10:00,314 how we can leverage, 284 00:10:00,615 --> 00:10:03,334 different provider types across the state, to really 285 00:10:03,334 --> 00:10:05,414 make sure that Riley is serving all of 286 00:10:05,414 --> 00:10:06,634 the children of Indiana. 287 00:10:07,414 --> 00:10:09,230 You'll hear us say, we 288 00:10:09,690 --> 00:10:11,870 believe every child deserves Riley, 289 00:10:12,330 --> 00:10:14,009 and we have to deliver on that promise 290 00:10:14,009 --> 00:10:16,490 in terms of access points across the state, 291 00:10:16,809 --> 00:10:18,649 and that will require us to think differently 292 00:10:18,649 --> 00:10:20,409 about what it means to be, part of 293 00:10:20,409 --> 00:10:21,070 a system, 294 00:10:21,404 --> 00:10:24,445 that has just such an incredibly strong, footprint 295 00:10:24,445 --> 00:10:26,524 and presence here in the state. But we 296 00:10:26,524 --> 00:10:28,605 can think differently about what that integration looks 297 00:10:28,605 --> 00:10:29,105 like. 298 00:10:30,044 --> 00:10:32,284 David, given the important role that you just 299 00:10:32,284 --> 00:10:34,684 mentioned that Riley has throughout the entire state, 300 00:10:34,684 --> 00:10:37,339 not just your immediate area, but throughout Indiana. 301 00:10:37,879 --> 00:10:39,480 I have a two part question for you. 302 00:10:39,480 --> 00:10:42,039 So what makes you nervous right now? And 303 00:10:42,039 --> 00:10:43,959 on the other end of that spectrum, what 304 00:10:43,959 --> 00:10:45,019 are you excited about? 305 00:10:46,120 --> 00:10:48,039 Yeah. So I I think the thing that 306 00:10:48,039 --> 00:10:50,475 I'm most excited about is the culture 307 00:10:50,855 --> 00:10:54,134 of Riley Children's Health. We have just such 308 00:10:54,134 --> 00:10:54,955 an incredibly, 309 00:10:56,134 --> 00:10:57,514 dedicated and passionate, 310 00:10:58,054 --> 00:10:59,654 set of team members. And and I say 311 00:10:59,654 --> 00:11:01,915 that across all roles, whether it's our, 312 00:11:02,295 --> 00:11:03,355 physician colleagues, 313 00:11:03,799 --> 00:11:05,019 our nursing team. 314 00:11:05,559 --> 00:11:07,559 You can go through just every role in 315 00:11:07,559 --> 00:11:10,059 the organization and there is truly a dedication 316 00:11:10,360 --> 00:11:12,679 to taking care of children, taking care of 317 00:11:12,679 --> 00:11:14,139 the families that we serve. 318 00:11:14,440 --> 00:11:16,274 And so we have this incredible culture. We 319 00:11:16,274 --> 00:11:18,914 have this incredible dedication to serving the children 320 00:11:18,914 --> 00:11:19,575 of Indiana, 321 00:11:20,195 --> 00:11:22,454 and we have that strong foundation of excellence. 322 00:11:22,674 --> 00:11:24,674 And so it's hard not to be excited 323 00:11:24,674 --> 00:11:25,414 about that. 324 00:11:26,195 --> 00:11:28,674 And so really the opportunity is exciting to 325 00:11:28,674 --> 00:11:30,615 be able to say, how can we impact 326 00:11:30,870 --> 00:11:32,710 the health status of the children we serve 327 00:11:32,710 --> 00:11:33,210 and, 328 00:11:33,590 --> 00:11:35,269 how do we improve that health as we 329 00:11:35,269 --> 00:11:38,090 go forward? And so that's obviously an incredibly 330 00:11:38,309 --> 00:11:38,809 exciting, 331 00:11:39,269 --> 00:11:41,350 mission that we have here at Riley Children's 332 00:11:41,350 --> 00:11:41,850 Health. 333 00:11:42,149 --> 00:11:44,470 And given our our footprint in the state, 334 00:11:44,470 --> 00:11:46,664 we we truly have an opportunity to impact 335 00:11:46,664 --> 00:11:49,544 that health status. And so, that that's an 336 00:11:49,544 --> 00:11:52,284 incredibly exciting proposition for us as we begin 337 00:11:52,585 --> 00:11:55,144 our second hundred years of serving the children 338 00:11:55,144 --> 00:11:55,884 in Indiana. 339 00:11:56,745 --> 00:11:58,825 The thing that I would, say I'm probably 340 00:11:58,825 --> 00:12:01,389 most nervous about is this desire to move 341 00:12:01,389 --> 00:12:01,889 quickly, 342 00:12:02,590 --> 00:12:04,670 and the desire to go solve all of 343 00:12:04,670 --> 00:12:05,490 those problems, 344 00:12:06,190 --> 00:12:08,370 and balancing that with the needs to be 345 00:12:08,429 --> 00:12:10,750 inclusive and thoughtful in terms of what we 346 00:12:10,750 --> 00:12:13,309 pursue and how we pursue that agenda. And 347 00:12:13,309 --> 00:12:13,725 so, 348 00:12:14,284 --> 00:12:17,105 there's this desire to to move quickly and 349 00:12:17,245 --> 00:12:19,004 and yet that can all can be fraught 350 00:12:19,004 --> 00:12:21,004 with problems if you're not thoughtful about how 351 00:12:21,004 --> 00:12:22,764 you move and and when what steps you 352 00:12:22,764 --> 00:12:25,485 take. And so, so very, very excited to 353 00:12:25,485 --> 00:12:27,804 be at Riley Children's Health, very excited about 354 00:12:27,804 --> 00:12:30,120 the opportunities in front of us. And yet 355 00:12:30,120 --> 00:12:31,879 at the time, nervous that, we have to 356 00:12:31,879 --> 00:12:33,800 be inclusive in terms of listening to our 357 00:12:33,800 --> 00:12:34,300 communities, 358 00:12:34,920 --> 00:12:36,920 listening to our stakeholders to make sure that 359 00:12:36,920 --> 00:12:38,680 we are truly serving the needs of the 360 00:12:38,680 --> 00:12:40,600 state. And so, it's that, 361 00:12:41,240 --> 00:12:43,639 nervousness that is, or that excitement that needs 362 00:12:43,639 --> 00:12:45,934 to be tempered with, balance in terms 363 00:12:46,394 --> 00:12:48,254 of, the pace at which we go. 364 00:12:49,434 --> 00:12:51,195 I would imagine balance is going to get 365 00:12:51,195 --> 00:12:53,035 you an awfully long way in your position, 366 00:12:53,035 --> 00:12:56,075 and hopefully that will translate to better health 367 00:12:56,075 --> 00:12:58,794 for every child who's touched by Riley Children's. 368 00:12:58,794 --> 00:12:59,294 David, 369 00:12:59,740 --> 00:13:01,420 thank you so much for being here with 370 00:13:01,420 --> 00:13:03,580 us today. We cannot wait to share all 371 00:13:03,580 --> 00:13:05,500 your insights with our audience, and, hopefully, we 372 00:13:05,500 --> 00:13:06,960 get to talk to you again soon. 373 00:13:07,340 --> 00:13:09,100 Thank you, Chris. I appreciate the time and 374 00:13:09,100 --> 00:13:10,720 would be happy to join you again.